NURS 634 Midterm Exam Questions With
Correct Answers | Latest 2026
Upon auscultating someone's lungs there is decreased air movement and
high pitch expiratory whistling. What diagnosis is at the top of the list? -
ANSWER- Asthma
What can you do if someone comes in, is distracted, and needs redirecting -
ANSWER- Summarize why the patient is here and the plan
A patient presents with a bloody left eye. What questions should you ask? -
ANSWER- • Injury or trauma? No
•Sneezing or coughing? No
•BP? Normal
•Changes in vision, double vision, visual disturbances? No
•Blood thinners? No
•Headaches? No
•Eye hemorrhage from vomiting after drinking alcohol = subconjunctival
hemorrhage
What eye disorders are normal in geriatric patients? - ANSWER- • Cataracts:
no
•Glaucoma: no
•Macular degeneration: no (common but not expected)
•Presbyopia (near sighted): yes
The proper way to start an initial consult - ANSWER- 1. Introduce yourself
2. Establish rapport
3. Ask for the chief complaint
Which lymph nodes are behind the sternoclavicular mastoid? - ANSWER-
Posterior cervical lymph nodes
A woman comes in with vague complaints: muscle ache, not sleeping well.
What diagnosis is probable? - ANSWER- Depression (always have a psych
differential for vague symptoms)
A patient with a history of GERD is being assessed. What education should
be provided? - ANSWER- • Eliminate spicy food
•Eliminate acid foods
•They should avoid eating late at night
If a patient has blurred vision while covering one eye, what CN is involved? -
ANSWER- CN III - Oculomotor (blurred vision or double vision = CN III)
, Medial epicondyle and lateral epicondyle, what are the two disorders that
happen with the elbow? - ANSWER- • Lateral: swinging back (tennis)
•Medial: swinging forward (golf)
Percussion on lungs sound dull, what are differentials? - ANSWER- •
Consolidation (pneumonia)
•Could be bilateral, depending on location
If a patient has a large lump on the back and the I&D has cheesy like
substance. What is it? - ANSWER- Sebaceous cyst
What is the normal cup to disk ratio in a normal eye exam? - ANSWER- 1:3
If the cup to disk ratio is 1:2, what is suspected? - ANSWER- Glaucoma
One differential to diagnose chest pain that does not radiate - ANSWER-
Angina
A patient losses all vision in one eye, differentials? - ANSWER- • Retinal
detachment (painless)
•Optic neuritis (painful)
A spot between the wrist and thumb has palpation tenderness, what bone is
suspected to have an injury? - ANSWER- Scaphoid injury
Landmarks for Point of Maximal Impulse (PMI) - ANSWER- 5th ICS and mid
clavicular line
What questions should be asked when a patient presents with jaw pain? -
ANSWER- • Does it hurt when you open your mouth?
•Is there clicking?
•Is it bilateral or one side?
•Facial tenderness? (TMJ goes all the way to scalp)
Pain in the TMJ are is known as - ANSWER- TMJD
You're taking a patient's history and they have a nursing degree, what
section would you document that under? - ANSWER- Social
A young elementary school girl has hair falling out. What questions are
you asking? - ANSWER- • Are they stressed?
•Family history?
•Malnourished?
•Alopecia (if all other areas are normal)
A patient has spiderweb veins going up the neck, what is this indicative of? -
ANSWER- Esophageal varices
Correct Answers | Latest 2026
Upon auscultating someone's lungs there is decreased air movement and
high pitch expiratory whistling. What diagnosis is at the top of the list? -
ANSWER- Asthma
What can you do if someone comes in, is distracted, and needs redirecting -
ANSWER- Summarize why the patient is here and the plan
A patient presents with a bloody left eye. What questions should you ask? -
ANSWER- • Injury or trauma? No
•Sneezing or coughing? No
•BP? Normal
•Changes in vision, double vision, visual disturbances? No
•Blood thinners? No
•Headaches? No
•Eye hemorrhage from vomiting after drinking alcohol = subconjunctival
hemorrhage
What eye disorders are normal in geriatric patients? - ANSWER- • Cataracts:
no
•Glaucoma: no
•Macular degeneration: no (common but not expected)
•Presbyopia (near sighted): yes
The proper way to start an initial consult - ANSWER- 1. Introduce yourself
2. Establish rapport
3. Ask for the chief complaint
Which lymph nodes are behind the sternoclavicular mastoid? - ANSWER-
Posterior cervical lymph nodes
A woman comes in with vague complaints: muscle ache, not sleeping well.
What diagnosis is probable? - ANSWER- Depression (always have a psych
differential for vague symptoms)
A patient with a history of GERD is being assessed. What education should
be provided? - ANSWER- • Eliminate spicy food
•Eliminate acid foods
•They should avoid eating late at night
If a patient has blurred vision while covering one eye, what CN is involved? -
ANSWER- CN III - Oculomotor (blurred vision or double vision = CN III)
, Medial epicondyle and lateral epicondyle, what are the two disorders that
happen with the elbow? - ANSWER- • Lateral: swinging back (tennis)
•Medial: swinging forward (golf)
Percussion on lungs sound dull, what are differentials? - ANSWER- •
Consolidation (pneumonia)
•Could be bilateral, depending on location
If a patient has a large lump on the back and the I&D has cheesy like
substance. What is it? - ANSWER- Sebaceous cyst
What is the normal cup to disk ratio in a normal eye exam? - ANSWER- 1:3
If the cup to disk ratio is 1:2, what is suspected? - ANSWER- Glaucoma
One differential to diagnose chest pain that does not radiate - ANSWER-
Angina
A patient losses all vision in one eye, differentials? - ANSWER- • Retinal
detachment (painless)
•Optic neuritis (painful)
A spot between the wrist and thumb has palpation tenderness, what bone is
suspected to have an injury? - ANSWER- Scaphoid injury
Landmarks for Point of Maximal Impulse (PMI) - ANSWER- 5th ICS and mid
clavicular line
What questions should be asked when a patient presents with jaw pain? -
ANSWER- • Does it hurt when you open your mouth?
•Is there clicking?
•Is it bilateral or one side?
•Facial tenderness? (TMJ goes all the way to scalp)
Pain in the TMJ are is known as - ANSWER- TMJD
You're taking a patient's history and they have a nursing degree, what
section would you document that under? - ANSWER- Social
A young elementary school girl has hair falling out. What questions are
you asking? - ANSWER- • Are they stressed?
•Family history?
•Malnourished?
•Alopecia (if all other areas are normal)
A patient has spiderweb veins going up the neck, what is this indicative of? -
ANSWER- Esophageal varices
